Individual
KELLEY JANE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
55785
WI
2084N0400X
Neurology Physician
Primary
01050034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212580
—
IN
Enumeration date
07/07/2005
Last updated
03/21/2013
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